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Resection of renal metastases to the pancreas: a surgical challenge.

Authors
  • Zacharoulis, D
  • Asopa, V
  • Karvounis, E
  • Williamson, R C N
Type
Published Article
Journal
HPB : the official journal of the International Hepato Pancreato Biliary Association
Publication Date
Jan 01, 2003
Volume
5
Issue
3
Pages
137–141
Identifiers
DOI: 10.1080/13651820310000677
PMID: 18332973
Source
Medline
License
Unknown

Abstract

Isolated RCC metastasis to the pancreas is a rare event. Patients present either on follow-up imaging or with symptoms such as mild abdominal pain, weight loss, jaundice, anaemia or gastrointestinal bleeding (whether occult or overt). Dynamic spiral CT can visualise the tumour and exclude distant metastasis. Angiography often reveals a highly vascularised tumour and will help to assess resectability. In the absence of widespread disease, pancreatic resection can provide long-term survival in metastatic RCC, although few cases have been reported with lengthy follow-up. The prognosis is better than for pancreatic adenocarcinoma.

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